Jody Gosnell (NPI# 1235687989, PAC ID# 6709173214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235687989 |
| PAC ID by PECOS | 6709173214 |
| Professional Enrollment ID | I20160928000145 |
| Full Name | Jody Gosnell |
| Organization Legal Name | IN HOME MEDICAL GROUP LLC |
| Address |
2222 E State St Suite 209 Rockford IL 61104-1572 |
| Phone Number | 8159888500 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779612395 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2222 E State St, Suite 209, Rockford, IL 61104-1572 | 8159888500 | IN HOME MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_046_18-64 | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% |
| Organization Legal Name | IN HOME MEDICAL GROUP LLC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline W Karugu | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Elizabeth A Madlem | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Susie Avery | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Nicole Gonzalez | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Cassandra Alcock | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Jodie L Vaughn | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Elaina D Parlapanis | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Rachael C Reinagle | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Jaycie N Liebendorfer | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Sarah Kehinde Nkwocha | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Street Address |
2222 E STATE ST SUITE 209 |
| City | ROCKFORD |
| State | IL |
| Zip | 61104-1572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline W Karugu | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Elizabeth A Madlem | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Susie Avery | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Nicole Gonzalez | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Cassandra Alcock | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Jodie L Vaughn | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Elaina D Parlapanis | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Rachael C Reinagle | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Jaycie N Liebendorfer | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Sarah Kehinde Nkwocha | Nurse Practitioner | In Home Medical Group LLC | 2222 E State St, Suite 209, Rockford, IL 61104-1572 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos J Aguero Medina | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Laken J Sisson | Clinical Social Worker | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Susan C Winterbauer | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Andrea Zajac | Clinical Social Worker | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Leslie A Dean | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Jessika Epperson | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Cora Marie Reynolds | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| William Sandoval | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Daramis R Toribio | Nurse Practitioner | Crusaders Central Clinic Association | 1100 Broadway, Rockford, IL 61104-1429 |
| Ashley N Rahn | Nurse Practitioner | Crusaders Central Clinic Association | 1100 Broadway, Rockford, IL 61104-1429 |
| Find all physicians in zip 61104 | |||
| City | ROCKFORD |
| Zip Code | 61104 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jody Gosnell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.